Bladder Prolapse (Cystocele)
Other signs and symptoms that may be related to prolapse are: frequent voiding or the urge to pass urine. urinary incontinence (unwanted loss of urine) not feeling relief right after voiding. frequent urinary tract infections. pain in the vagina, pelvis, lower abdomen, groin or lower back. heaviness. What are the symptoms of a cystocele? Feeling or seeing something bulging through the vaginal opening Difficulty emptying the bladder (urinating) Having to run to the bathroom frequently to pass water, or just a feeling as if you have to go a lot. Frequent urinary tract infections. Feeling of.
This results in bladder prolapse, also called cystocele. In severe cases, the prolapsed bladder can appear at the opening of the vagina. Sometimes it can even protrude drop through the vaginal opening. Bladder prolapse is common in women.
The symptoms of bladder prolapse can be bothersome but it can be treated. The most common symptom is the feeling of a vaginal bulge. A bulge in the vagina is something you can see or feel. The goal of surgery is to repair your body and improve symptoms.
Surgery can be performed through the vagina or the abdomen. There are several ways the surgery can be done, they include:. Before having surgery you should have an in-depth talk with your surgeon. You should learn about the risks, benefits, and other choices for repairing cystocele with surgery.
It is important that you give informed consent. This can only be done after your doctor has answered all of your questions. If prolapse is left untreated, over time it may stay the same or slowly get worse. In rare cases, severe prolapse can cause obstruction of the kidneys or ov retention inability to pass urine. This may lead to kidney damage or infection. Adult Symptoms Child Symptoms. Symptoms The most common symptom is the feeling of a vaginal bulge.
Treatment Conservative measures involve: No treatment — Some women have bladder prolapse and do not have bothersome symptoms. There are several fropping the surgery can be done, they what are the symptoms of bladder dropping Open surgery- when an incision cut is made through the abdomen Minimally invasive surgery- how to play chaotic online game small incisions cuts in the abdomen Laparoscopic- the doctor places droppping instruments through the abdominal wall Robot-assisted laparoscopic- robotic instruments are placed through the abdominal wall.
They are attached to robotic arms, and are controlled by the surgeon. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Feb 25, · Other symptoms of a prolapsed bladder include the following: Discomfort or pain in the pelvis, lower abdomen, and when sitting. Tissue protruding from the vagina (The tissue may be tender and may bleed.) Palpable bulge in the vagina. Difficulty urinating. A . Other signs and symptoms that may be related to prolapse are: frequent voiding or the urge to pass urine urinary incontinence (unwanted loss of urine) not feeling relief right after voiding frequent urinary tract infections pain in the vagina, pelvis, lower abdomen, groin or lower back heaviness . Signs and symptoms of urinary incontinence can include leaking urine during everyday activities, such as lifting, bending, coughing, or exercising feeling a sudden, strong urge to urinate right away leaking urine without any warning or urge.
Last Updated: April 10, References Approved. This article was medically reviewed by Lacy Windham, MD. There are 12 references cited in this article, which can be found at the bottom of the page. This article has been viewed 99, times. Experts say that your bladder may fall from it's normal position in your pelvis if your pelvic floor becomes too weak or there's too much pressure on it. A prolapsed bladder occurs when the muscles of your vaginal wall weaken and your bladder drops into your vagina.
Prolapsed bladders are often caused by pregnancy and childbirth, but sometimes occur after menopause or excessive physical strain. Common signs that your bladder has prolapsed include pain, pressure, or discomfort in your lower abdomen or vagina and leaking urine when you cough, laugh, or move around too much. If you experience any of these symptoms, visit your doctor as soon as possible.
After diagnosing you, they may advise treatment such as pelvic exercises, medication, and in rare cases, surgery.
For more tips from our Medical co-author, including how doctors test for a prolapsed bladder, read on. Did this summary help you? Yes No. Log in Social login does not work in incognito and private browsers. Please log in with your username or email to continue. No account yet? Create an account.
This is the most obvious symptom of a cystocele, and you should see your primary care physician or gynecologist as soon as possible. National Institutes of Health Go to source This feeling is generally considered a sign of a severe prolapsed bladder.
Note any pelvic pain or discomfort. If you have any pain, pressure, or discomfort in your lower abdomen, pelvic area, or vagina, you should see a doctor. Any number of conditions, including a prolapsed bladder, could cause those symptoms.
National Institutes of Health Go to source If you have a cystocele, this pain, pressure, or discomfort may increase when you cough, sneeze, exert yourself or otherwise place pressure on the muscles of your pelvic floor. If this is the case, be sure you mention it to your doctor. If you have a prolapsed bladder, you may also feel like something is falling out of your vagina.
Consider any urinary symptoms. See your doctor to resolve the issue. National Institutes of Health Go to source Notice as well if you've experienced any changes when you urinate, including difficulty initiating a stream of urine, incomplete emptying of the bladder also known as urinary retention , and increased urinary frequency and urgency.
Note if you've had frequent bladder infections, or urinary tract infections UTIs. Women with cystoceles often wind up with frequent bladder infections, so it's worth paying attention to the frequency of your UTIs.
Take pain during sexual intercourse seriously. If you are dealing with dyspareunia, you should see your primary care physician or gynecologist as soon as possible. Monitor your back pain. Some women with cystoceles also experience pain, pressure, or discomfort in the lower back area. Back pain is a very general symptom that could mean many things — or nothing serious at all — but it makes sense to schedule an appointment with your doctor.
This is especially the case if you are experiencing any of the other symptoms. National Institutes of Health Go to source.
Know that some women have no symptoms at all. If your case is a mild one, you may not notice any the above symptoms. Some cystoceles are first discovered during routine gynecological examinations. However, if you exhibit or experience any of the symptoms described above, you should consult your primary care physician PCP or gynecologist. If you do not experience symptoms there is often no need for treatment. Part 2 of Know that pregnancy and childbirth is the most common cause of a prolapsed bladder.
During pregnancy and childbirth, your pelvic muscles and supportive tissues are strained and stretched. Since these are the muscles that hold your bladder in place, serious stress or weakness on them can allow the bladder to slip down into the vagina. Even women who delivered by cesarean are at risk. Recognize the role of menopause. Postmenopausal women are at significant risk for a prolapsed bladder due to reduced levels of the female sex hormone estrogen.
Estrogen is partly responsible for maintaining the strength, tone, and resilience of your vaginal muscles. As a result, the low levels of estrogen accompanying the transition into menopause cause these muscles to become thinner and less elastic, which leads to overall weakening.
These surgeries not only cause damage to the pelvic area, but also cause changes in estrogen levels. Therefore, though you may be younger than most menopausal women and otherwise healthy, you are still at risk for a cystocele. Be aware of muscle strain as a factor. Intense straining or heavy lifting can sometimes trigger a prolapse. When you strain the muscles of your pelvic floor, you risk triggering a prolapsed bladder especially if the muscles of your vaginal wall have already been weakened by menopause or childbirth.
Types of straining that can cause a cystocele include: Lifting very heavy objects including children Chronic, intense coughing Constipation and straining during bowel movements. Consider your weight. If you are overweight or obese, your risk of a prolapsed bladder is increased.
The extra weight places additional strain on the muscles of your pelvic floor. BMI is a person's weight in kilograms kg divided by the square of the person's height in meters m. A BMI of Part 3 of Make an appointment with a physician.
If you think you may have a prolapsed bladder, schedule an appointment with your primary care physician or gynecologist. Be prepared to give your doctor as much information as possible, including a complete medical history and a detailed description of your symptoms. Have a pelvic exam. As a first step, your doctor will probably perform a routine gynecological exam. In this exam, the cystocele is detected by applying a speculum a tool for inspecting body orifices against the posterior back vaginal wall while you lie back with your knees bent and ankles supported by stirrups.
The physician will likely ask you to "bear down" as if you were pushing during childbirth or having a bowel movement or cough. If a cystocele is present, the doctor will see or feel a soft mass bulging into the anterior front vaginal wall when you strain. National Institutes of Health Go to source In some cases, in addition to performing the standard pelvic exam, your doctor may want to examine you standing up. It can be beneficial to evaluate a prolapse from different positions. If your doctor notices a prolapse in the back wall of your vagina, she is likely to also perform a rectal exam.
This will help her determine the strength of your muscles. You don't need to prepare for this examination in any way and it should not take very long. You may feel slight discomfort during the pelvic exam, but for many women this is just a routine exam much like having pap smears. Have further testing if you are experiencing bleeding, incontinence, or sexual dysfunction. Your doctor will likely recommend tests known as cystometrics or urodynamics. A cystometric study measures how full your bladder is when you first feel the need to urinate, when your bladder feels "full," and when your bladder is actually completely full.
Then you will lie on an examination table and the doctor will insert a thin, flexible catheter into your bladder. Urodynamics is a set of tests. It includes measured voiding aka uroflow , which will time how long it takes you to start urinating, how long urination takes to complete, and how much urine you produce. It also includes cystometry, as mentioned above. It will also include a voiding or emptying phase test. In most urodynamics tests, your doctor will place a thin, flexible catheter into the bladder, which will remain in place as you urinate.
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